Organization
PRISTINE VENTURES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIEL OKEOMA OTUONYE (DIRECTOR)
(850) 933-5242
Entity
Organization
Contact information
Practice address
1965 CAPITAL CIR NE, TALLAHASSEE, FL 32308-8401
(850) 445-4365
Mailing address
1744 RODEO DR, TALLAHASSEE, FL 32311-8548
(850) 933-5242
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
L11000044712
FL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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